Publications by authors named "Lai-Sheng Pan"
Article Synopsis
- - The study investigates surgical outcomes of endoscopic endonasal surgery (EES) for craniopharyngiomas (CPs) in adults, comparing patients aged 18-64 years (nonelderly) to those 65 and older (elderly) between 2013 and 2022.
- - Out of 193 patients, the elderly group exhibited higher rates of preoperative memory impairment, fatigue, hypopituitarism, and hydrocephalus, as well as longer symptom duration and greater comorbidity scores.
- - Post-surgery, the elderly had a slightly lower rate of gross-total resection and a higher incidence of pneumonia, but no significant differences were found in surgery time, blood
Extended Endoscopic Endonasal Approach for Giant Pediatric Craniopharyngiomas: Technical Note and Case Series.
Oper Neurosurg (Hagerstown)
May 2024
Background And Objectives: Giant pediatric craniopharyngiomas are rare tumors whose clinical and surgical management is extremely challenging. A variety of open transcranial approaches has been used to resect these lesions. Although there has been an increasing acceptance of the endoscopic endonasal approach (EEA) for the resection of pediatric craniopharyngiomas in recent years, many surgeons continue to recommend against the use of the EEA for giant pediatric craniopharyngiomas.
View Article and Find Full Text PDFObjective: The authors performed a further in-depth study of the lateral compartment of the cavernous sinus (LCCS) by the endoscopic endonasal approach to improve the safety and efficacy of the lateral approach for the removal of Knosp grade 4 pituitary adenomas (KG4PAs).
Methods: Twenty-three cadaveric specimens were used for endoscopic endonasal dissection, and the LCCS was exposed to observe the neurovascular and fibrous structures within. A subclassification of the lateral approach based on further knowledge of the LCCS was proposed and used to resect 86 KG4PAs, and the surgical outcomes of these cases were reviewed.
Objectives: To describe four endoscopic endonasal subapproaches, namely, the trans-lamina papyracea, trans-prelacrimal recess, trans-Meckel's cave, and transclival approaches for trigeminal schwannomas (TSs).
Methods: This retrospective study reviewed the medical records and intraoperative videos of 38 patients with TSs who underwent endoscopic endonasal approach (EEA) between Jan 2013 and Dec 2021.
Results: According to Jeong's classification, for TS equally in middle and posterior fossae (MP), a purely trans-Meckel's cave approach was carried out in 2 cases, and a combined transclival approach was carried out in 4 cases.